Organization Active NPI

Morgan's Drug LLC

  • Community/Retail Pharmacy
  • Williston, SC
National Provider Identifier
1629449624
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16197 Issued in SC
Legal business name
MORGAN'S DRUG LLC
Practice address
12935 Main St
Williston, SC 29853-2321
Phone
(803) 266-3356
Fax
(803) 266-3358
NPI assigned
Oct 16, 2015
Last updated
Jun 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca B Morgan, RPH
Title
Co-Owner
Phone
(803) 266-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16197 SC Primary

Addresses

Primary practice location

12935 Main St
Williston, SC 29853-2321

Mailing address

12935 Main St
Williston, SC 29853-2321
Phone (803) 266-3356

Other identifiers 1

IdentifierTypeStateIssuer
716197MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240618001555 SC Part B Supplier - Pharmacy 5294278321 Practice locations: Williston, SC

National Provider Directory

National Provider Directory

Locations

12935 Main St
Williston, SC 29853
Phone (803) 266-3356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1629449624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-3356",
            "fax_number": "803-266-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-3356",
            "fax_number": "803-266-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN'S DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-266-3356",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.